A meaning-centered spiritual care training program for hospice palliative care teams in South Korea: development and preliminary evaluation

BMC Palliative Care

Kyung-Ah Kang¹  Su-Jin Koh²  Young-Sim Choi³  Soo-Jin Yoon⁴  Do-Bong Kim⁵  Myung-Hee Park⁶  Sung-Eun Choi⁷  Shin-Jeong Kim⁸ 

[1] College of Nursing, Sahmyook University, Seoul, Republic of Korea;Department of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea;Department of Nursing, Chungnam National University Hospital, Daejeon, Republic of Korea;Dongbaek St. Luke Hospice, Gyeonggi-do, Republic of Korea;Holistic Healing Institute of Sam Medical Center, Gunpo, Republic of Korea;Hospice & Palliative Center, Seoul St. Mary’s Hospital, Seoul, Republic of Korea;Hospice Care Center of the Regional Cancer Center, Chungnam University Hospital, Daejeon, Republic of Korea;School of Nursing, Hallym University, 39 Hallymdaehak-gil, 24252, Chuncheon, Gangwon-do, Republic of Korea;

关键词: Hospice;    Palliative care;    Program development;    Spirituality;   

DOI  :  10.1186/s12904-021-00718-1

来源: Springer

【 摘 要 】

BackgroundSpirituality is a fundamental, intrinsic aspect of human beings and should be a core component of quality palliative care. There is an urgent need to train hospice palliative care teams (HPCTs) to enhance their ability to provide spiritual care. This study aimed to develop and evaluate a meaning-centered, spiritual care training program (McSCTP) for HPCTs (McSCTP-HPCTs).MethodsThe modules’ content was informed by Viktor Frankl’s meaning-centered logotherapy with its emphasis on spiritual resources, as well as the spiritual care model of the Interprofessional Spiritual Care Education Curriculum (ISPEC). Following development, we conducted a pilot test with four nurses. We used the results to inform the final program, which we tested in an intervention involving 13 members of HPCTs. We took measurements using self-administered questionnaires at three points before and after the intervention. Using descriptive statistics, the Mann-Whitney U test, and the Kruskal-Wallis test, we analyzed the participants’ demographic and career-related characteristics, as well as the degree of variance between three outcome variables: compassion fatigue (CF), spiritual care competencies (SCCs), and spiritual care therapeutics (SCT).ResultsWe divided the McSCTP-HPCTs into five modules. Module I: The HPCTs’ SCC evaluation, understanding the major concepts of spiritual care and logotherapy; Modules II-IV: Meaning-centered interventions (MCIs) related to spiritual needs (existential, relational, and transcendental/religious); Module V: The process of meaning-centered spiritual care. The preliminary evaluation revealed significant differences in all three outcome variables at the posttest point (CF, p = 0.037; SCCs, p = 0.005; SCT, p = 0.002). At the four-week follow-up test point, we only found statistical significance with the SCCs (p = 0.006).ConclusionsThe McSCTP-HPCTs is suitable for use in clinical settings and provides evidence for assessing the SCCs of HPCTs.

【 授权许可】

CC BY